Single stage chest wall soft tissue reconstruction with ipsilateral pectoralis major turnover flap, rhomboid skin flap, and inferior nipple transposition

Author:

Thng Coeway Boulder1ORCID,Kok Yee Onn2,Feng Jiajun2,Wong Allen Wei-Jiat2

Affiliation:

1. Ministry of Health Holdings , 099253 Singapore

2. Sengkang General Hospital Department of Plastic, Reconstructive & Aesthetic Surgery, , 544886 Singapore

Abstract

Abstract Extravasation injury is a well-known complication of central venous catheter placement, with potential for extensive soft tissue necrosis. Here, we describe the case of a patient who developed a large right chest well soft tissue defect, due to a chest wall abscess from calcium gluconate infusion via a right internal jugular central venous catheter. After multiple debridements, the chest wall defect was reconstructed with a single stage ipsilateral pectoralis major turnover flap, rhomboid skin flap, and inferior nipple transposition to match the contralateral nipple. There was no further infection, no nipple necrosis, and patient regained full range of motion of the ipsilateral shoulder.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

1. Sopra il mio nuovo processo di amputazione della mammella;Tensini;Gazzetta Med Ital,1906

2. Introduction to chest wall reconstruction: anatomy and physiology of the chest and indications for chest wall reconstruction;Clemens;Semin Plast Surg,2011

3. Neck and shoulder disability following reconstruction with the pectoralis major pedicled flap;Moukarbel;Laryngoscope,2010

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